MIDDLETOWN — A 25-year-old college student, the first of five women who have accused Dr. Tory Westbrook of sexually assaulting them during visits to the Community Health Center of Clinton, described in detail Monday how the doctor inappropriately touched her breasts and pelvic area during a physical for college.

Dressed in a navy blue skirt and royal blue blazer, the woman calmly described three of four visits to Westbrook during 2010. However, as she described the fourth, for her physical examination, there were long pauses as she sought to maintain her composure, and then tears.

Monday was the opening day of Westbrook's trial in Superior Court in Middletown. He has been charged with five counts of second-degree sexual assault and four counts of fourth-degree sexual assault. His medical license has been suspended.

The woman who testified Monday said Westbrook, 45, of Glastonbury, told her to take off all her clothing and put on a hospital gown. When the exam began, she said, he put a stethoscope to her back and told her to breathe. He then told her to lie back on the examination table.

"He just opened the gown and I was laying there naked," said the woman, whose name was not mentioned in court and otherwise referred to by her initials. "He put his hands on my chest, on my breasts. Both of his hands were on my breasts." The woman said Westbrook said nothing as he massaged her breasts.

Middlesex State's Attorney Peter McShane asked the woman if she'd ever had a breast exam like that before. "No," she responded.

Previous doctors, she said, made sure she was covered up and used the tips of their fingers to examine her. They also told her what they were doing as the exam proceeded, she said.

The woman, who was 21 at the time, said she stared at the ceiling and never made eye contact with Westbrook. The one time she looked at his face, she said, he was focused on her chest.

Westbrook then moved one of his ungloved hands to the woman's vagina, she testified. "His hands were moving from side to side," she said. "He was tapping me a little bit." When the exam became more intrusive, she said, she tensed and grabbed the sides of the exam table.

"After he stopped, he went back to touching my breasts and grabbed them again," she said.

Westbrook eventually told her to get dressed and then left the room, she said.

The woman said she never told anyone about what happened until nearly a year later, when she ran into her previous doctor and asked his opinion of what happened. He referred her to sexual assault counseling and police.

The woman hired an attorney and is suing Westbrook, a fact defense attorney Norm Pattis elicited from the woman during cross-examination. Pattis also worked to undermine the woman's credibility by highlighting inconsistencies in statements to police.

"When did you decide to sue Mr. Westbrook for money damages?" Pattis asked, eliciting an objection from McShane. Judge David P. Gold sustained the objection, and several others from McShane after Pattis again mentioned the civil lawsuit.

Pattis keyed in on an initial statement to Clinton police that the woman made in March 2012, and then another statement in May 2012 that alleged more misconduct. He suggested she exaggerated the claims in the second statement after an official doubted her initial story.

The woman responded that she was nervous when making the first statement.

The trial resumes Tuesday morning with continued testimony from Dr. Christopher Diamond, who treated the woman when he worked at Community Health Center and who now works as university physician at Central Connecticut State University in New Britain.